Mammography in 40-Year-Old Women: What Difference Does It Make? The Potential Impact of the U.S. Preventative Services Task Force (USPSTF) Mammography Guidelines

Background This 10-year retrospective chart review evaluates the potential impact the most recent U.S. Preventative Services Task Force (USPSTF) report recommending against annual mammographic screening of women aged 40–49 years. Methods The medical record database was systematically searched to dis...

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Veröffentlicht in:Annals of surgical oncology 2011-10, Vol.18 (11), p.3066-3071
Hauptverfasser: Shen, Nicole, Hammonds, Linda Sue, Madsen, Dick, Dale, Paul
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Sprache:eng
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Zusammenfassung:Background This 10-year retrospective chart review evaluates the potential impact the most recent U.S. Preventative Services Task Force (USPSTF) report recommending against annual mammographic screening of women aged 40–49 years. Methods The medical record database was systematically searched to discover all women aged 40–49 years treated for breast cancer over a 10-year period. These women were separated into 2 cohorts—mammographically detected cancer (MDC) and nonmammographically detected cancer (NMDC). Statistical analysis of the cohorts was performed for family history (FH), sentinel lymph node (SLN) status, tumor size at presentation, and disease-free and overall survival. Results A total of 1581 women were treated for breast cancer; of these, 311 were between the ages of 40 and 49 years with complete diagnostic information, 145 were MDC, and 166 were NMDC. The average tumor diameter of the MDC group was 20.68 mm, which was significantly smaller than that of the NMDC group at 30.38 mm ( P  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-011-2009-4